Bicer Mualla, Hocaoglu Elif, Aksoy Sema, İnci Ercan, Aktaş İlknur
J Am Podiatr Med Assoc. 2018 Mar;108(2):100-105. doi: 10.7547/15-106.
Extracorporeal shockwave therapy (ESWT) has recently been used as a new treatment modality for plantar fasciitis. We aimed to determine the efficacy of ESWT by magnetic resonance imaging (MRI) findings.
Thirty patients with plantar fasciitis who had received no treatment for 6 months were included. Extracorporeal shockwave therapy was applied once a week for a total of three sessions (frequency of 12-15 Hz, 2-3 bars, and 2,500 pulses). All of the patients were assessed with the visual analog scale, a 6-point evaluation scale, the Foot and Ankle Outcome Score (FAOS), and MRI findings before and 3 months after ESWT. Visual analog scale scores were used in determining the pain level of patients in the morning, during activity, and at rest. Foot and ankle-related problems were evaluated with the FAOS.
The duration of painless walking according to the 6-point rating scale, the FAOS, and pain showed significant improvements after ESWT ( P < .05). Significant decreases in MRI findings, including thickening of the plantar fascia, soft-tissue edema, and bone marrow edema, were observed after treatment ( P < .05).
Extracorporeal shockwave therapy is a safe and effective treatment that yields favorable results in improvement of pain and function for plantar fasciitis. An MRI is useful for determining response to ESWT for these patients.
体外冲击波疗法（ESWT）最近已被用作治疗足底筋膜炎的一种新方法。我们旨在通过磁共振成像（MRI）结果确定ESWT的疗效。
纳入30例未经治疗达6个月的足底筋膜炎患者。体外冲击波疗法每周进行1次，共3次（频率为12 - 15Hz，2 - 3巴，2500次脉冲）。所有患者在ESWT治疗前及治疗后3个月均采用视觉模拟量表、6分评估量表、足踝结局评分（FAOS）以及MRI检查进行评估。视觉模拟量表评分用于确定患者在早晨、活动期间和休息时的疼痛程度。足踝相关问题采用FAOS进行评估。
根据6分评分量表、FAOS以及疼痛情况，无痛行走时间在ESWT治疗后有显著改善（P < .05）。治疗后观察到MRI结果有显著改善，包括足底筋膜增厚、软组织水肿和骨髓水肿均有明显减轻（P < .05）。
体外冲击波疗法是一种安全有效的治疗方法，在改善足底筋膜炎患者的疼痛和功能方面取得了良好效果。MRI有助于确定这些患者对ESWT的反应。
